Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marisa Erazo, PA-C

Individual provider Physician Assistant · NPI 1710715123

Marisa Erazo, PA-C is a Physician Assistant in Middletown, Rhode Island. Qualified in 2024, 2 years ago. Practices with Coastal Medical Physicians Inc, a 219-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
2
Licensed in
RI
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

99 E Main Rd Ste 19A
Middletown, RI 02842-4957
Phone: (401) 846-0055
Fax: (401) 606-4510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01718 (RI)

Record details

NPI number1710715123
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 25, 2024
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Coastal Medical Physicians Inc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Middletown